Elsevier

Journal of Neuroimmunology

Volume 72, Issue 2, February 1997, Pages 155-161
Journal of Neuroimmunology

Matrix metalloproteinases, tumor necrosis factor and multiple sclerosis: an overview

https://doi.org/10.1016/S0165-5728(96)00179-8Get rights and content

Abstract

The matrix metalloproteinases (MMPs) are a family of at least 14 zinc-dependent enzymes which are known to degrade the protein components of extracellular matrix. In adddition, MMPs and related enzymes can also process a number of cell surface cytokines, receptors, and other soluble proteins. In particular we have shown that the release of the pro-inflammatory cytokine, tumor necrosis factor-α, from its membrane-bound precursor is an MMP-dependent process. MMPs are expressed by the inflammatory cells which are associated with CNS lesions in animal models of multiple sclerosis (MS) and in tissue from patients with the disease. MMP expression will contribute to the tissue destruction and inflammation in MS. Drugs which inhibit MMP activity are effective in animal models of MS and may prove to be useful therapies in the clinic.

Section snippets

Metalloproteinases

The metalloproteinases (MPs) are a large family of enzymes which contain a zinc atom in the active site of their catalytic domain (Rawlings and Barrett, 1995). The matrix metalloproteinases (MMPs) are a distinct sub-group of MPs which includes the collagenases, gelatinases, stromelysins, membrane-type metalloproteinases, matrilysin and metalloelastase (Birkedal-Hansen et al., 1993). The MMPs generally have broad, but not necessarily overlapping, substrate specificities. Classically MMP

Metalloproteinase inhibitors

MMPs have been a target for the pharmaceutical industry for many years and a number of substrate-based pseudopeptide inhibitors have been described (reviewed by Beckett et al., 1996). MMP inhibitors have shown efficacy in models of cancer, acute and chronic inflammatory diseases. The most advanced clinical studies to date have been in corneal ulceration with the Glycomed compound GalardinTM (given by injection), in malignant pleural effusion and ascites with the British Biotech compound

Relationship of MMPs to the cytokine convertase/sheddase

It is not yet clear to what extent MMPs participate in the release of TNF or of other shed membrane molecules in vivo. There is emerging evidence that the shedding reaction can be mediated by novel metalloproteinases. Although we have shown that many of our MMP inhibitors also prevent the cellular processing of pro-TNF (Gearing et al., 1994), detailed analysis of the inhibitory potency of different compounds suggest that the TNF converting enzyme may be pharmacologically distinct from the

Demyelinating neuroinflammatory disease: the case for treatment with a TMI

Multiple sclerosis is a chronic disabling disease of the central nervous system (CNS). The disease is characterised by the presence of demyelinated plaques or lesions, which early in their development have a disrupted blood brain barrier causing leakage of plasma proteins (Calder et al., 1989). These plaques contain inflammatory cells (T lymphocytes and monocytes) in addition to activated glial cells. It is thought that an initial influx of inflammatory cells drives the subsequent development

Summary

MMPs are potent mediators of tissue destruction in autoimmune disease. MMPs also contribute to the release or shedding of cell surface molecules such as TNF-α. There is considerable evidence that MMPs are expressed in the lesions of MS where they contribute to leucocyte invasion, BBB breakdown, myelin destruction and TNF release. Compounds which inhibit MMP activity and TNF release are active in animal models of MS. In view of this, clinical trials of a broad spectrum MMP inhibitor should be

Acknowledgements

I would like to thank the British Biotech MMP team and Dr. V.H. Perry of the Department of Pharmacology, University of Oxford for their contributions to this work.

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